EP2948106B1 - Dispositif de fusion intersomatique réglable - Google Patents
Dispositif de fusion intersomatique réglable Download PDFInfo
- Publication number
- EP2948106B1 EP2948106B1 EP14742780.1A EP14742780A EP2948106B1 EP 2948106 B1 EP2948106 B1 EP 2948106B1 EP 14742780 A EP14742780 A EP 14742780A EP 2948106 B1 EP2948106 B1 EP 2948106B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- opening
- tool
- interbody fusion
- fusion device
- channel
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
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- 230000007246 mechanism Effects 0.000 claims description 146
- 238000003780 insertion Methods 0.000 claims description 33
- 230000037431 insertion Effects 0.000 claims description 33
- 210000000988 bone and bone Anatomy 0.000 claims description 29
- 239000007943 implant Substances 0.000 description 57
- 238000000034 method Methods 0.000 description 21
- 239000000463 material Substances 0.000 description 6
- 230000013011 mating Effects 0.000 description 6
- 210000001519 tissue Anatomy 0.000 description 5
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- 230000006735 deficit Effects 0.000 description 2
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- 230000008569 process Effects 0.000 description 2
- 230000009885 systemic effect Effects 0.000 description 2
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- 239000012620 biological material Substances 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000002682 general surgery Methods 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
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- 230000000926 neurological effect Effects 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
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Images
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2002/4629—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof connected to the endoprosthesis or implant via a threaded connection
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T29/00—Metal working
- Y10T29/25—Lacing-stud making
Definitions
- anterior is a direction towards the front side of the body
- posterior means a direction towards the back side of the body
- medial means towards the midline of the body
- lateral is a direction towards the sides or away from the midline of the body
- superior means a direction above and “inferior” means a direction below another object or structure.
- the load head 170 may also include a superior head surface 174.
- the superior head surface 174 may be shaped to match with the corresponding relief area 134 ( see FIG. 6 ) on the undersurface 132 of the top member 130.
- the superior head surface 174 is configured to slide along the relief 134 of the undersurface 132, if necessary, to allow for the expansion assembly 142 to lengthen to create the angled relationship of the top member 130 relative to the base member 110.
- the relief 134 in the undersurface 132 and the correspondingly shaped load head 170 facilitates the angulation process and the load transfer between the top member 130 and the base member 110 while avoiding potential binding of the expansion assembly 142 during the expansion and retraction process.
- the teeth 178 of the worm gear 184 positioned on the end of the drive rod 180 are configured to mate with the substantially vertical depressions 152 of the gear 150.
- the expansion assembly 142 acts to convert rotational movement of the gear 150 into translational movement of the threaded rod 160. This is achieved by allowing free rotational movement of the gear 150 while restricting the rotation of the threaded rod 160. By restricting the rotation of the threaded rod 160, the rod translates in either an upward or downward direction relative to the gear 150 depending upon whether the threads (external and internal) 154, 164 are oriented in a right-handed or left-handed direction.
- the shaft 194 of the locking mechanism 192 may have a shape which corresponds to the shape of the tool opening 186 of the drive rod 180, for example, the shape may be a hexagon, square, or other multi-lobed configuration allowing the shaft 194 of the locking mechanism 192 to fit securely within the opening 186 of the drive rod 180.
- the head 196 may have a shape which corresponds to the shape of the adjustment opening 116, for example, the shape may be a circle, hexagon, square, or other multi-lobed configuration allowing the locking mechanism 192 to securely fit within the adjustment opening 116 of the base member 110 to secure the locking mechanism 192 in the implant 100 to maintain a desired expansion or retraction.
- the spring plunger 228 may again engage the first channel 232 to secure the knob 224 in the handle 212.
- the head 236 of the knob 224 may then be rotated to remove the distal end of the securement mechanism 210 from the attachment opening 114.
- the securement mechanism 210 rotates it disengages the threads 108 of the attachment opening 114 and the protrusion 206 and adjustment mechanism 208 of the insertion end 202 of the tool 200 slide out of the alignment channel 112 and adjustment opening 116, respectively. It is also contemplated that the above method for inserting the implant 100 using tool 200 may be performed in alternative orders.
- the adjustment end 364 extends out of the opening 308 in the housing 304 to enable engagement with the adjustment opening 116 in the implant 100.
- the adjustment end 364 may have, for example, a hex male head, square, or other multi-lobed configuration to enable rotation of the drive rod 180 with a correspondingly shaped engagement end.
- the physician may remove the adjustment mechanism 342 and insert the locking mechanism inserter 344 to lock the implant 100 in the desired expansion or retraction.
- the locking mechanism inserter 344 shown in FIGS. 25 and 26 , may include an engagement end 366 with a shape corresponding to the opening 199 in the locking mechanism 192.
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Transplantation (AREA)
- Neurology (AREA)
- Heart & Thoracic Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physical Education & Sports Medicine (AREA)
- Prostheses (AREA)
Claims (11)
- Un dispositif de fusion intersomatique (100, 400), le dispositif comprenant :un élément formant corps (110, 410) comprenant une surface venant au contact d'un os (104), l'élément formant corps (110, 410) incluant un cylindre de pivotement (124, 412, 434) ;un élément supérieur (130, 430) comprenant une surface venant au contact d'un os (104), l'élément supérieur (130, 430) incluant un canal de pivotement (432, 416, 136), où le cylindre de pivotement (124, 412, 434) est configuré pour se mettre en prise avec le canal de pivotement (432, 416, 136) ; etun mécanisme de mouvement (140) destiné à mouvoir l'élément supérieur (130, 430) relativement à l'élément formant corps (110, 410), le mécanisme de mouvement (142) incluant une tige filetée (160) couplée à une tête de charge (170) par le biais d'un deuxième cylindre de pivotement (162) ; etoù la position et l'orientation du cylindre de pivotement (124, 412, 434) sont fixes par rapport à l'élément formant corps (110, 410) ; etoù la position et l'orientation du canal de pivotement (432, 416, 136) sont fixes par rapport à l'élément supérieur (110, 410).
- Le dispositif de fusion intersomatique (100, 400) de la revendication 1, où l'élément formant corps (110, 410) inclut une première extrémité et une deuxième extrémité et comprend en outre :un canal d'alignement avec un outil (112) sur la première extrémité ;une ouverture d'attache d'un outil (114) sur la première extrémité adjacente au canal d'alignement avec un outil (112) ; etune ouverture d'ajustement (116) sur la première extrémité adjacente à l'ouverture d'attache d'un outil (114).
- Le dispositif de fusion intersomatique (100, 400) de la revendication 2, où l'élément formant corps (110, 410) inclut une surface supérieure et une surface inférieure et comprend en outre :un trou (118) près de la deuxième extrémité de l'élément formant corps (110, 410) et s'étendant à partir de la surface supérieure jusqu'à la surface inférieure, le trou (118) étant configuré pour recevoir au moins une portion du mécanisme de mouvement (140) ; etun canal (122) s'étendant à partir de l'ouverture d'ajustement (116) au niveau de la première extrémité le long d'un côté latéral de l'élément formant corps pour se mettre en prise avec le trou (118).
- Le dispositif de fusion intersomatique (100, 400) de la revendication 3, où l'élément supérieur (130, 430) inclut une première extrémité et une deuxième extrémité et comprend en outre :une surface en fond à l'opposé de la surface venant au contact d'un os (104) ; etune zone de dégagement (134) positionnée sur la surface en fond au niveau de la deuxième extrémité et alignée avec le trou (118) de l'élément formant corps (110, 410) ; où le canal de pivotement (136, 432, 416) est positionné sur la surface en fond au niveau de la première extrémité.
- Le dispositif de fusion intersomatique (100, 400) de la revendication 4, où le mécanisme de mouvement (140) comprend :un assemblage d'expansion (142) configuré pour être placé dans le trou (118) de l'élément formant corps (110, 410) et pour se mettre en prise avec la zone de dégagement (134) de l'élément supérieur (130, 430), l'assemblage d'expansion (142) incluant la tige filetée (164) et la tête de charge (170) ; etune tige d'entraînement (180) configurée pour l'insertion dans le canal (122) de l'élément formant corps (110, 410) pour se mettre en prise avec l'assemblage d'expansion (142).
- Le dispositif de fusion intersomatique (100, 400) de la revendication 5, où l'assemblage d'expansion (142) comprend :un engrenage cylindrique (150) configuré pour se nicher dans le trou (118) de l'élément formant corps (110, 410) ;un moyen de support (158) positionné de façon adjacente à l'engrenage cylindrique (150) ;la tige filetée (160) comprenant :le deuxième cylindre de pivotement (162) sur une première extrémité ; etune pluralité de filetages externes (164) s'étendant sur la longueur de la tige filetée (160) ; etla tête de charge (170) avec une surface de dessus (174) et une surface de dessous comprenant :une surface de tête supérieure sur la surface de dessus (174) et configurée pour se mettre en prise avec la zone de dégagement (134) de l'élément supérieur (130, 430) ; etun canal distal (172) sur la surface de dessous et configuré pour se mettre en prise avec le deuxième cylindre de pivotement (162) sur la première extrémité de la tige filetée (180).
- Le dispositif de fusion intersomatique (100, 400) de l'une quelconque des revendications 5 à 6, où la tige d'entraînement (180) comprend : un arbre cylindrique (182) avec une première extrémité et une deuxième extrémité ; un engrenage à vis sans fin (184) au niveau de la première extrémité ; une ouverture (186) au niveau de la deuxième extrémité ; et un canal dans l'arbre cylindrique (182) positionné entre la première extrémité et la deuxième extrémité.
- Le dispositif de fusion intersomatique (100, 400) de la revendication 7, où le trou (118) de l'élément formant corps (110, 410) comprend en outre :un épaulement circonférentiel interne (120) configuré pour recevoir le moyen de support (158) de l'assemblage d'expansion (142) ; etune encoche (121) se mettant en prise avec le trou (118) et l'épaulement circonférentiel interne (120).
- Le dispositif de fusion intersomatique (100, 400) de la revendication 7, comprenant en outre :
une cheville configurée pour l'insertion dans l'élément formant corps (110, 410) pour se mettre en prise avec le canal dans l'arbre cylindrique de la tige d'entraînement (180). - Le dispositif de fusion intersomatique (100, 400) de la revendication 7, comprenant en outre :
un mécanisme de verrouillage configuré pour se mettre en prise avec l'ouverture d'ajustement (116) dans l'élément formant corps (110, 410) et l'ouverture (186) dans la tige d'entraînement (180), le mécanisme de verrouillage comprenant :une tête incluant une ouverture destinée à se mettre en prise avec un outil d'insertion etune pluralité de saillies configurées pour se mettre en prise avec l'ouverture d'ajustement ; et un arbre s'étendant dans le prolongement de la tête et configuré pour se mettre en prise avec l'ouverture dans la tige d'entraînement. - Le dispositif de fusion intersomatique (100, 400) de la revendication 1, où le cylindre de pivotement (124, 412, 434) a une surface extérieure dimensionnée pour correspondre à une surface intérieure du canal de pivotement (432, 416, 136), afin de permettre à l'élément supérieur (130, 430) de tourner relativement à l'élément formant corps (110, 410).
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US201361756048P | 2013-01-24 | 2013-01-24 | |
PCT/US2014/012848 WO2014116891A1 (fr) | 2013-01-24 | 2014-01-24 | Dispositif de fusion intersomatique réglable et son procédé d'utilisation |
Publications (3)
Publication Number | Publication Date |
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EP2948106A1 EP2948106A1 (fr) | 2015-12-02 |
EP2948106A4 EP2948106A4 (fr) | 2017-01-18 |
EP2948106B1 true EP2948106B1 (fr) | 2021-05-26 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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EP14742780.1A Active EP2948106B1 (fr) | 2013-01-24 | 2014-01-24 | Dispositif de fusion intersomatique réglable |
Country Status (3)
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US (4) | US9974664B2 (fr) |
EP (1) | EP2948106B1 (fr) |
WO (1) | WO2014116891A1 (fr) |
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